Educational Innovation for Gun Violence in the US

Abstract

Gun violence remains a public health issue that continues to affect tens, perhaps hundreds, of thousands of Americans annually. 1 Hink A.B. Bonne S. Levy M. et al. Firearm injury research and epidemiology: a review of the data, their limitations, and how trauma centers can improve firearm injury research. J Trauma Acute Care Surg. 2019; 87: 678-689 Crossref Scopus (11) Google Scholar Within the community of trauma surgeons, increased effort and attention has been turned to the opportunities surgeons have for prevention of firearm injury and the humanistic care of trauma patients. 2 Kuhls D.A. Campbell B.T. Burke P.A. et al. Survey of American College of Surgeons Committee on trauma members on firearm injury: consensus and opportunities. J Trauma Acute Care Surg. 2017; 82: 877-886 Crossref PubMed Scopus (30) Google Scholar ,3 Bulger E.M. Kuhls D.A. Campbell B.T. et al. Proceedings from the Medical Summit on Firearm Injury Prevention: a public health approach to reduce death and disability in the US. J Am Coll Surg. 2019; 229: 415-430.e12 Abstract Full Text Full Text PDF PubMed Scopus (37) Google Scholar Integrated into this approach has been attention to the social determinants of health that affect firearm injury risk, trauma informed care training, and improved technical skills for managing complex penetrating trauma. 4 Kim D. Social determinants of health in relation to firearm-related homicides in the United States: a nationwide multilevel cross-sectional study. PLoS Med. 2019; 16e1002978 Crossref Scopus (14) Google Scholar , 5 Rowhani-Rahbar A. Quistberg D.A. Morgan E.R. et al. Income inequality and firearm homicide in the US: a county-level cohort study. Inj Prev. 2019; 25: i25-i30 Crossref PubMed Scopus (13) Google Scholar , 6 Brenner M. Inaba K. Aiolfi A. et al. Resuscitative endovascular balloon occlusion of the aorta and resuscitative thoracotomy in select patients with hemorrhagic shock: early results from the American Association for the Surgery of Trauma's Aortic Occlusion in Resuscitation for Trauma and Acute Care Surgery Registry. J Am Coll Surg. 2018; 226: 730-740 Abstract Full Text Full Text PDF PubMed Scopus (84) Google Scholar , 7 Ordonez C.A. Rodriguez F. Parra M. et al. Resuscitative endovascular balloon of the aorta is feasible in penetrating chest trauma with major hemorrhage: proposal of a new institutional deployment algorithm. J Trauma Acute Care Surg. 2020; 89: 311-319 Crossref Scopus (15) Google Scholar , 8 Garcia A.F. Manzano-Nunez R. Orlas C.P. et al. Association of resuscitative endovascular balloon occlusion of the aorta (REBOA) and mortality in penetrating trauma patients. Eur J Trauma Emerg Surg. 2020 Apr 16; ([Epub ahead of print]) Crossref Scopus (8) Google Scholar